警报训练对5至7岁的夜间遗尿症患儿也有效。

van Zwet J M, Wiertz Y D, Bolk-Bennink L F, van Leerdam F J, Hirasing R A

TNO Preventie en Gezondheid, divisie Jeugd, Leiden.

Ned Tijdschr Geneeskd. 1998 Apr 18;142(16):897-900.

OBJECTIVE

To determine how many bed-wetting children aged 5-7 years unlearn the habit using the alarm treatment.

DESIGN

Descriptive.

SETTING

TNO Prevention and Health, Leiden, the Netherlands.

METHODS

The population consisted of all children aged 5 to 7 with nocturnal enuresis (defined as > or = 2 wettings per week) who ordered an Elther alarm set (Elther BV, Tilburg) in May or June 1996 (n = III). The parents and the child were asked to keep notes during the treatment of whether the child had remained dry and of whether the alarm had sounded. When at the time of cessation of the alarm training the results were insufficient, the parents were asked about the reason to stop. When the child had remained dry for 14 nights in succession (the definition of 'success'), a questionnaire was sent 6 months later to inquire if the child was still dry or had relapsed.

RESULTS

The totals of success for children aged 5, 6 and 7 years were 70% (n = 7/10), 73% (n = 29/40) and 90% (n = 55/61), respectively. Seven-year-olds were significantly more successful than the children aged 5 or 6 (p = 0.02). No significant correlations were found between results of treatment and sex, the nature of the enuresis (purely functional or not), familial occurrence and frequency of bed-wetting at the start of the treatment. The average times until success were 53 days for the 5-year-olds (range: 31-78), 65 days for the 6-year-olds (26-154) and 59 for the 7-year-olds (17-141). The proportions of relapse after 6 months were 0%, 14% and 9%, respectively.

CONCLUSION

Alarm training with pad and buzzer appears to be a suitable method of treatment even for children younger than 8 years.

目的

确定5至7岁的尿床儿童通过警报治疗戒除该习惯的人数。

设计

描述性研究。

地点

荷兰莱顿的TNO预防与健康研究所。

方法

研究对象为1996年5月或6月订购了埃尔瑟警报器（埃尔瑟有限公司，蒂尔堡）的所有5至7岁夜间遗尿儿童（定义为每周尿床≥2次）（n = 111）。要求家长和孩子在治疗期间记录孩子是否保持干爽以及警报是否响起。当警报训练停止时结果不理想，会询问家长停止的原因。当孩子连续14晚保持干爽（“成功”的定义）时，6个月后会发送问卷询问孩子是否仍保持干爽或是否复发。

结果

5岁、6岁和7岁儿童的成功总数分别为70%（n = 7/10）、73%（n = 29/40）和90%（n = 55/61）。7岁儿童的成功率显著高于5岁或6岁儿童（p = 0.02）。治疗结果与性别、遗尿性质（是否纯功能性）、家族发病率和治疗开始时尿床频率之间未发现显著相关性。5岁儿童成功的平均时间为53天（范围：31 - 78天），6岁儿童为65天（26 - 154天），7岁儿童为59天（17 - 141天）。6个月后的复发率分别为0%、14%和9%。